S/S of acute stress disorder {Ans: exposure to trauma directly, eye witness, learning from close family, repeated exposure (police officers etc) presence of 9 s/s 1) intrusive memories 2) dreams 3) dissociative reactions-flashbacks 4) intense response 5) negative mood dissociative symptoms 6)altered sense of reality 7) inability to remember aspects of event 8)avoid memories 9) avoid external reminders 10)sleep disturbances 11)irritable/angry 12) hypervigilence 13)problems concentrating 14)exaggerated startle response 3 days to 1 month after trauma}neurotransmitter closely related to pleasure reward circuit in addiction {Ans: dopamine pathways Mesolimbic}a 23 year old is brought to the ER after attempting suicide by cutting her wrists. what is the PMHNP highest priority {Ans: take her vital signs}S/S of Tourette's {Ans: typically performed in response to irresistible premonitory urges emerges at age 5/6 most severe at 10-12 may be transient or chronic with waxing & waning motor tics common in face and neck vocal tics throat clearing, coughing, grunting repetitive muscle contractions: involuntary vocalizations or movements eye blinking, neck jerking, coughing, grunting, sniffing, snorting, barking, shrugging}brain structure for making new memories {Ans: Hippocampus}in assessing a client you ask him the meaning of the proverb "people who live in glass houses